Literaturnachweis - Detailanzeige
Autor/inn/en | Sheldrick, R. Christopher; Frenette, Elizabeth; Vera, Juan Diego; Mackie, Thomas I.; Martinez-Pedraza, Frances; Hoch, Noah; Eisenhower, Abbey; Fettig, Angel; Carter, Alice S. |
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Titel | What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking under the Hood of a Multi-Stage Screening Process in Early Intervention |
Quelle | In: Journal of Autism and Developmental Disorders, 49 (2019) 6, S.2304-2319 (16 Seiten)
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Zusatzinformation | ORCID (Sheldrick, R. Christopher) |
Sprache | englisch |
Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
ISSN | 0162-3257 |
DOI | 10.1007/s10803-019-03913-5 |
Schlagwörter | Autism; Pervasive Developmental Disorders; Children; Screening Tests; Clinical Diagnosis; Early Intervention; Decision Making; Referral; Cost Effectiveness; Predictor Variables; Parent Attitudes |
Abstract | U.S. guidelines for detecting autism emphasize screening and also incorporate clinical judgment. However, most research focuses on the former. Among 1,654 children participating in a multi-stage screening protocol for autism, we used mixed methods to evaluate: (1) the effectiveness of a clinical decision rule that encouraged further assessment based not only on positive screening results, but also on parent or provider concern, and (2) the influence of shared decision-making on screening administration. Referrals based on concern alone were cost-effective in the current study, and reported concerns were stronger predictors than positive screens of time-to-complete referrals. Qualitative analyses suggest a dynamic relationship between parents' concerns, providers' concerns, and screening results that is central to facilitating shared decision-making and influencing diagnostic assessment. (As Provided). |
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Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
Update | 2020/1/01 |